6kg以下婴幼儿先心病的术后实施呼吸道CTP管理的护理体会

Nursing Experience of Adopitom CTP after Operation for Weigh below 6kg Inforts with Congenttal Heart Disease

目的 总结6kg以下婴幼儿先心病的术后实施呼吸道CTP管理的临床效果.方法 选择我院2008年1～11月6kg以下小儿先天性心脏病101例,其中将4～11月间的51例患儿分为观察组,术后给予胸部物理治疗（CTP）护理干预措施来加强呼吸道管理;而将同年前3个月的50例患儿分为对照组,术后未实施CTP.观察两组患儿使用呼吸机时间和肺部预后情况.结果 观察组患儿使用呼吸机时间明显比对照组缩短并且无一例因肺部并发症而导致死亡.两组之间的比较差异有显著性意义（P〈0.05）.结论 采用胸部物理治疗加强呼吸道管理,能缩短呼吸机待机时间,减少了呼吸道并发症的发生,从而提高低体重婴幼儿先天性心脏病术后的存活率.

Objective To conclude respiratory management of done congenital disease（CHD）＇s operation with weight below 6kg infants. Methods 101 infants were selected from our hospital, they were in hospital from January to November in 2008 and their weighs below 6kg. 51 infants who were in hospital from April to November entered intervention group. The remaining infants entered control group. The intervention group was given chest physical therapy after CHD＇s operation to strengthen respiratory management, the control group wasn＇t given. Observe two groups used the time of respirator and the cure of respiratory. Results The time of intervention group was evident short to the control group and no one was dead of lung＇s conplieation. The difference between two group was statistically significant（P〈0.05）. Conclusions Adoption CTP to strengthen respiratory management can shrink the time of using respirator and decrease respiratory＇s complication. It raise livability of low weight infant with＇done CHD＇s operation.